Brandon Edward Wooldridge, is a
Physician Assistant based in Goode, Virginia. Brandon Edward Wooldridge is licensed to practice in Virginia (license number 0110009594) and his current practice location is
1193 Market Dr, Goode, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 401-2196.
NPI number for Brandon Edward Wooldridge is 1497441430 and his current mailing address is 1193 Market Dr, Goode, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497441430.
Provider's Profile
| Full Name | Brandon Edward Wooldridge |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1193 Market Dr, Goode, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497441430
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 09/21/2023
Medical Identifiers
Medical identifiers for Brandon Edward Wooldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497441430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110009594 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Edward Wooldridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandon Edward Wooldridge,
1193 Market Dr,
Goode, VA 24556-2708
Ph: (434) 401-2196 | Brandon Edward Wooldridge,
1193 Market Dr,
Goode, VA 24556-2708
Ph: (434) 401-2196 |
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